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WELLNESS PHARMACY, INC.

Company Details

Entity Name: WELLNESS PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Sep 2009 (15 years ago)
Document Number: P09000078316
FEI/EIN Number 270974922
Address: 120 W. BOUGAINVILLEA AVE, TAMPA, FL, 33612
Mail Address: 120 W. BOUGAINVILLEA AVE, TAMPA, FL, 33612
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811201452 2010-08-05 2018-07-19 120 W BOUGAINVILLEA AVE, TAMPA, FL, 336127437, US 120 W BOUGAINVILLEA AVE, TAMPA, FL, 336127437, US

Contacts

Phone +1 813-774-8856
Fax 8133193760

Authorized person

Name GASHAW ADANE
Role OWNER/PIC/AO
Phone 8134084097

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH24665
State FL
Is Primary Yes
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2126001
Issuer MEDICAID
Number 002872100
State FL

Agent

Name Role Address
ADANE GASHAW A Agent 120 W. BOUGAINVILLEA AVE, TAMPA, FL, 33612

President

Name Role Address
ADANE GASHAW A President 120 W. BOUGAINVILLEA AVE, TAMPA, FL, 33612

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-04-02
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-03-23
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5754008501 2021-03-01 0455 PPS 120 W Bougainvillea Ave, Tampa, FL, 33612-7437
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45547
Loan Approval Amount (current) 45547
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33612-7437
Project Congressional District FL-15
Number of Employees 4
NAICS code 446199
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45782.85
Forgiveness Paid Date 2021-09-10
9934477305 2020-05-03 0455 PPP 120 W BOUGAINVILLEA AVE, TAMPA, FL, 33612-7437
Loan Status Date 2021-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45548
Loan Approval Amount (current) 45548
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33612-7437
Project Congressional District FL-15
Number of Employees 7
NAICS code 446199
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45878.69
Forgiveness Paid Date 2021-01-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State